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as part of moving i had to transfer to a different doctor to get allergy shots. the injection material needed to be transferred from one doctor to another, via fedex. The office sending the material chose to provide my credit cart to fedex to pay for the service. no, i don't know why. yes, its weird.
Should the transfer of the allergens been covered by my insurance? if so, how do i go about submitting a claim to my insurance company?
fwiw, my allergy shots have been fully covered. i'm not entirely sure if thats true but i don't remember paying anything.
I figure its worth a try.
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"Should the transfer of the allergens been covered by my insurance? if so, how do i go about submitting a claim to my insurance company? "
Seems like good questions to ask your insurance company, their phone number is probably on your insurance card.
Is the "cost" that you're referring to just the FedEx charge? How much money are we talking abut here?
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>Seems like good questions to ask your insurance company, their phone number is probably on your insurance card.
I tried that, and the answer I got was "Sir, you have an EPO, you can't submit a claim for anything" ....which doesn't make sense to me.
It cost about $80.
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As a layman, with a transfer, I would expect both physicians would be in network so the transfer should have been an in network expense and billed to the EPO. However, the insurance rep is also correct. There are generally no allowances for anything out of network, so there is no claim process. Everything out of network is on your dime.
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I would be surprised if your insurance covered it. When I moved, my allergist recommended that I hand-carry my serum to my new doctor to save on the cost of shipping. And I had really good insurance through a university.
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>>There are generally no allowances for anything out of network, so there is no claim process.
So its possible for two in network doctors to coordinate in such a way such that the transaction itself is out of network?
....and i find it odd that it follows that there's no claim process since its all in network. what happens if an in network doctor charges a patient instead of the insurance company? surely this must happen on occasion.
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one of the things the person on the phone said was that i should have contacted my insurance company before transferring the allergens. that was already after i talked to two doctors. how many people do you need to talk to do something so goddamn simple?
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Matt,
Maybe I'm missing something here. You have to have the allergens shipped form your old doctor in Ny to your new doctor? That doesn't make sense to me. Wouldn't your new allergist have access to the same tools/equipment/products/etc as your old one?If not the same, then equivalents from whatever brands/vendors/etc he/she uses? I wouldn't think I'd have to have this stuff shipped from one doctor to another.
Robert
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If the entire charge being discussed is a FedEx charge that was made to your credit card without your knowledge, then I suppose you could try disputing the charge with your credit card company. But there will probably be some blowback to deal with from FedEx and the NY doctor as a result, and I personally wouldn't attempt this.
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Matt,
The allergens are likely produced by a special lab. But, your local allergist should have a lab/vendor/etc that produces the allergens for him/her.
No doubt the allergens can be produced to suit your specific needs. Or, there are certain dosages that are commonly used and produced and your allergist puts together the shots for you accordingly. That's why I don't understand why your NY doctor needed to send the products to your new doctor.
The new allergist should have the appropriate records so he/she can have the allergens produced for you. Or, use the correct doses from his/her stock of them. This would make shipping allergens from one doctor to the other unnecessary.
Like I said... something just doesn't make sense to me.
Am I correct in assuming you had your records transferred from your old doctor to the new one? If not, then you definitely need to get this done ASAP.
Robert
